Individual provider Active NPI

Joel D. Cooper, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brentwood, TN
National Provider Identifier
1932430980
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS-3681 Issued in TN
Practice address
7004 Moores LN
Brentwood, TN 37027-2905
Phone
(615) 377-7777
Fax
(615) 661-4527
NPI assigned
Jan 14, 2010
Last updated
Jan 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS-3681 TN Primary

Addresses

Primary practice location

7004 Moores LN
Brentwood, TN 37027-2905

Mailing address

7004 Moores LN
Brentwood, TN 37027-2905
Phone (615) 377-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127000370 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3274815253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS-3681TNMDOrthodontics and Dentofacial Orthopedic Dentist
8157SCMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1932430980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 MOORES LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272905",
            "telephone_number": "615-377-7777",
            "fax_number": "615-661-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 MOORES LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272905",
            "telephone_number": "615-377-7777",
            "fax_number": "615-661-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "DS-3681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.